The use of tracheostomy in the management of patients in critical care has increased in recent years. The National Tracheostomy Safety Project has created guidelines to standardise the way in which tracheostomies are both performed and managed to reduce complications, many of which are associated with common misconceptions and communication failures.1 The care of tracheostomies is governed
by established care bundles designed to reduce incidence of complications. The aim of this quality improvement project is to monitor how best practice is being implemented, to identify and address barriers to successful implementation and to embed the guidelines into everyday practice.
